Organization
KENNETH C. FRIES, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH C FRIES O.D. (OWNER)
(912) 272-6121
Entity
Organization
Contact information
Practice address
412 US HIGHWAY 80 SW, POOLER, GA 31322-2541
(912) 748-3937
(912) 748-6758
Mailing address
PO BOX 14116, SAVANNAH, GA 31416-1116
(912) 272-6121
(912) 691-1277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GAOPT001492
GA
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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